Dengue is known for its nonspecific onset and frequently can rapidly deteriorate into a range of feared systemic complications including hemorrhagic fever and shock syndromes. However, vocal cord hematomas associated with dengue fever are a rare presentation. Here, we describe a case of vocal cord hematoma in a patient with dengue and thrombocytopenia, highlighting this rare association, which has a potential to aggravate into a life-threatening complication. The patient was treated conservatively and made a complete recovery.